Organization
DICKINSON NEUROLOGY ASSOCIATES P C
Active
Other names
NEUROLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATTI PETERSON MD (PRESIDENT)
(906) 779-7100
Entity
Organization
Contact information
Practice address
1205 PYLE DR, KINGSFORD, MI 49802-1132
(906) 779-7100
Mailing address
1205 PYLE DR, KINGSFORD, MI 49802-1132
(906) 779-7100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477548311
INDIVIDUAL NPI
MI
01
—
1780678318
INDIVIDUAL NPI
MI
05
—
32569100
—
MI
05
—
32635300
—
MI
Enumeration date
01/05/2007
Last updated
01/07/2013
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